| NPI | 1487308904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MI 4704329534) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: WY 55006) |
| Enumeration Date | 2022-02-04 |
| Last Update Date | 2025-04-08 |